Tidalhealth Physician Network, Inc.

NPI #1639982952 in Bridgeville, Delaware

Provider Information

NPI Number
1639982952
Entity Type
Organization
Organization Name
Tidalhealth Physician Network, Inc.
Primary Specialty
Family Medicine
Enumeration Date
Jan 30, 2025
Last Updated
Jul 22, 2025

Practice Location

Address
9111 ANTIQUE ALY UNIT 1
ZIP Code
19933-4682
Phone
(302) 337-9320

Authorized Official

Name
WILLIAM PELOT
Title
CHIEF ADMINISTRATOR OFFICER
Phone
(410) 543-7497

Specialties & Taxonomy Codes

Specialty
Family Medicine

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